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General NPI Number Information
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NPI Number | 1467582478
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Entity Type | Organization
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Legal Business Name | CIRO A MARTIN
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8463 BIRD RD
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City | MIAMI
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State | FL
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Zip | 33155-3225
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Country | US
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Telephone | 305-551-6714
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Fax | 305-551-4204
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Provider Business Mailing Address
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Address Line | 8463 BIRD RD
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City | MIAMI
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State | FL
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Zip | 33155-3225
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Country | US
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Telephone | 305-551-6714
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Fax | 305-551-4204
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CIRO A MARTIN
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Credential | DDS
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Telephone | 305-551-6714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | DN0013508
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License Number State | FL
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